Wagner, Angela B

Wagner, Angela B is an individual health care provider with primary practice located at 5926 Crawfordsville Rd Unit B , Indianapolis IN 46224-3722. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Wagner, Angela B can be contacted via phone (317) 653-2730.

Contact Information

Primary practice address
5926 Crawfordsville Rd Unit B Indianapolis IN 46224-3722
Phone: (317) 653-2730
Fax: (317) 321-1935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 02002402A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02002402A Indiana
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 02002402A Indiana

Profile Details

NPI number 1710928270
LBN Legal business name Wagner, Angela B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710928270 NPPES
Indiana MEDICAID 200411540C
Indiana MEDICAID 200411540

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